Periodontics Center

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

PERIODONTICS CENTER

Practice address

116 Millburn Ave Ste 204
Millburn, NJ 07041-1919

Phone

(973) 379-6400

Fax

(973) 379-6430

NPI assigned

Feb 25, 2026

Organization subpart

Yes

Parent organization

PERIODONTICS CENTERAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kim Yacono

Title

Office Manager

Phone

(973) 379-6400

Specialties & licenses 1

Addresses

Part of

Periodontics Center

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marc Jeffery Goldman, DDS

  • Periodontics
  • Millburn, NJ
  • NPI 1922015361
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1771977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771977600000",
    "number": "1639023799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 MILLBURN AVE STE 204",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411919",
            "telephone_number": "973-379-6400",
            "fax_number": "973-379-6430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 MILLBURN AVE STE 204",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411919",
            "telephone_number": "973-379-6400",
            "fax_number": "973-379-6430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERIODONTICS CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PERIODONTICS CENTER",
        "enumeration_date": "2026-02-25",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A",
        "authorized_official_last_name": "YACONO",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "973-379-6400"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peace and Wellness Therapy Services LLC
• Pediatric Eden L.L.C.
• Pediatric Therapy Practitioners, PA
• Lawrence J Pemberton, PT, DPT
• Julianna Pennucci
• Kara L Perkins, DPT
• Susan Petri, APN CRNA RN
• Donald P. Peyser, M.D.
• Melissa Phillips, CNM, WHNP-BC
• Physical Therapy Center Management Group, LLC

• Periodontics in Millburn, NJ
• Providers in Millburn, NJ by specialty
• Periodontics in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.